Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.70 / $64.70 / $64.70	Facility	26	$64.70	$64.70	$64.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $151.90 / $210.43	Professional		$134.91	$151.90	$210.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $60.84 / $96.13	Professional	26	$53.67	$60.84	$96.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.20 / $93.91 / $114.46	Professional	TC	$70.20	$93.91	$114.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $166.98 / $239.71	Professional		$128.47	$166.98	$239.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.12 / $80.39 / $114.45	Professional	26	$62.12	$80.39	$114.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.34 / $85.87 / $125.27	Professional	TC	$66.34	$85.87	$125.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $216.23 / $286.45	Professional		$151.63	$216.23	$286.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.16 / $102.29 / $138.21	Professional	26	$73.16	$102.29	$138.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.47 / $113.94 / $148.24	Professional	TC	$78.47	$113.94	$148.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $94.43 / $158.21 / $340.03	Professional		$94.43	$158.21	$340.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $75.02 / $86.80 / $162.85	Professional	26	$75.02	$86.80	$162.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $81.62 / $94.43 / $177.18	Professional	TC	$81.62	$94.43	$177.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.75 / $230.70	Professional		$134.90	$154.75	$230.70
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $64.70 / $109.71	Professional	26	$53.67	$64.70	$109.71
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $70.20 / $93.91 / $124.37	Professional	TC	$70.20	$93.91	$124.37
United Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $216.96 / $302.45	Professional		$121.75	$216.96	$302.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.43 / $90.83 / $145.07	Professional	26	$60.43	$90.83	$145.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.32 / $123.11 / $157.38	Professional	TC	$61.32	$123.11	$157.38